| NPI | 1346947363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704343259) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: MI 4704343259) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MI 22287124902) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-05-13 |